715 NE 92 St (5)PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Date 1 + -- 1 —C 15 Job Address 1 15 N t . c .5 Tax Folio
Legal Description IA' j i j ( 9 ?� Historically Designated: Yes No
Owner/Lessee / Tenant C � Tb Master Permit #
Owner's Address 1 l N • * . Ll j `, , Phone 7 S � -- 7 7 1
Contracting Co. l 1 1 —
Qualifier !r imp
State # ( )Seczi Municipal # Competency # Ins. Co.
Architect/Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVIN¢ FENCE IGN
WORK DESCRIPTION 14 1 C"C` ` i 5 I- C.SU I C 1 in 1 ink. ` t
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Square Ft. I L
Signature of owner and/or Condo President Date
IFS: PERMIT
Address q ( 7' N LkD •
SS# ) Phone p — 1 ri
Estimated Cost (value) T3 g'c
WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING,
CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.)
Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I
certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate
permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK.
OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable
laws regulating construction and zoning. Furthermore, I authorize the above -named contractor to do the work stated.
Signature of Contractor or Owner- der Date
My Commissidar
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Notary as to Owner and/or Condo President Date Notary as to Congo*. Awnopa deF - --- •-- Date
My Commission Expires:
RADON C.C.F. NOTARY TOTAL DUE J
APPROVED:
Zoning Building *C11 t ) jS Electrical
Mechanical Plumbing Engineering
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23.78
SCHWEBKE & ASSOCIATES INC.
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9 • r HEREBY CERTIFY: That the attached
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SKETCH OF SURVEY is revised this 26th day of March, 19:f
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Registered Land Surveyor r'_C67
State of Florida
SKETCH CF SURVEY
Lots 27 and 2$, Block 65, MIAMI
SHORES SECTION 3, according to the
Plat thereof, recorded in Flat Book
10, at Page 37, of the Public Records
of Dade County, Florida.
Order No. 15235
F.B. #324 -12 Scales shown
I HEREBY CERTIFY: That the attached
"SKETCH OF SURVEY" of the above des -
cribed property is true and correct
to the best of my and
belief as recently surveyed and
platted under my dire
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HARRY C. SCHWEBKE (� rATES INC.
Harry C. Schwebk igres
Registered Land drveyQ #6C2
State of Florida c:-%
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6
January 19, 1955
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